1. Continue Increasing Taxes on Tobacco Products

2. Background Increase rates of cancer – Lung cancer Heart disease Poor blood flow High blood pressure Secondhand smoke can cause premature birth and miscarriages Tobacco Use

3. Key Facts on Tobacco Use Tobacco use is the cause of 6 million deaths per year – Tobacco kills up to HALF of its users Deaths may increase to up to 8 million by 2030 Over 7,000 known chemicals are found in secondhand smoke (the smoke that comes from a cigarette or that is let out by a smoker)

5. Community Preventative Services Task Force Reviewed 116 studies on increasing tobacco products – Lowers the total number of tobacco consumed – Lowers the number of people using tobacco – Increases the number of tobacco users that quit – Lowers the number of young people who start using tobacco – Lowers tobacco-related illness and death

6. General Tobacco Effects Raising tobacco prices will decrease the number of people that smoke A decrease in tobacco use will decrease the level of poverty

7. U.S. State Cigarette Tax Rates, 2013

8. Important Considerations The money made from a tobacco tax can be used for health promotion and disease prevention programs If tobacco prices increase by 10%: – lowers the smoking of cigarettes in many countries – Youth and adult smokers decrease by 2.5% to 5%

9. Youth and Tobacco Due to a raise in tobacco taxes of about $1.36 per pack, tobacco use among youths in Guam and the Mariana Islands decreased.

10. WHO Framework Convention on Tobacco Control Article 6 focuses on the price and tax measure to lower the demand for tobacco.

11. Recommendations Increasing taxation on tobacco products – Type of tax: Import duty, excise, and sales tax – Tax cigarettes WHO tax stimulation model (TaXSim) WHO tax stimulation model – Very accessible simulator

12. Best Practices Raise cigarette tax by at least 10% of a state’s average retail price per pack for there to be any health benefit. Anything less does not have an effect on health. Include the definition of tobacco products, include little cigars, roll-your-own tobacco and other loose tobacco.

13. Continue increasing taxes on tobacco products A Palauan Example Target Population: National Summary: RPPL 9-4, SD1, HD4 Tobacco Tax Increase RPPL 9-4, SD1, HD4 Tobacco Tax Increase  Palau had an existing importation tax for tobacco products at $2.00  Palau Non Communicable Diseases (NCD) Unit worked with its traditional partners such as: the Cancer Coalition, the Coalition for Tobacco Free Palau, and the Ministry of Health (MOH), to further increase the tax on all tobacco products in Palau, including all imports and local products as well as electronic cigarettes  With the unified support also coming from Palau’s current administration, World Health Organization (WHO) and the civil society, Congress passed a law on September 2013 increasing the tobacco tax from $2.00 to $3.50  The law also limits travelers coming in to Palau from carrying more than 1 opened pack of cigarettes; any extra cigarette packs, are subject to the $3.50 tobacco tax

14. Who to contact? James Rarick Technical Officer, Tobacco Free Initiative WHO Western Pacific Regional Office Manila, Philippines E-mail:  rarickj@wpro.who.intrarickj@wpro.who.int